HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: SCANNED Permit Number: 8 f Z��
BY
�.,, t. Lucie County
RECErM
Building Permit Application - DECO 4 2n
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 9600 S OCEAN DR 1401
Legal Description: EMPRESS CONDOMINIUM UNIT 1401
Property Tax ID #: 4502-620-0100-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side: x
Install 2 accordion shutters
OHVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ L632.00
Lot No.
Block No.
nu—cnecK au
apply:
❑Windows/Doors
Piping _Shutters
riders In
Generator
0
Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer El Septic
Building Height:
-yli x3S lP 41 3
vCtWNER%LESSI ;` x
R. �
CONTRACTOR'
Name Margaret Guzman
Name: Michael Heissenberg
Address: 9600 S Ocean or #1401
y. Expert Company: Shutter Services
P
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-9948
Address: 668 SW Whitmore or
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
a varue or conmruaion is;czuu or more, a ntWnutu Notice or commencement is required.
CIPPLEIVIENTALCONS1RlJCTION [:IEN lAW INFORMATION.azj„s
s
DESIGNER/ENGINEER: _
Name: rltecolnc-
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 6355 NW 36th St Suite305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip:
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspect) you Intend t9 obtain financing, consult with lender or an attoTey before
commencin-work o erord our Notice of Commencement. —
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aV 1 a Alert COUNTY OF (_A I ('a P
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of R '2t C 20 1Qby this � day of '%I OVCMY W 20 � by
Michael Heissenbtng Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
re of Notary Public- State
V /
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.CmGi1`i 339Z (Seal) ,nnrn.,_ Halelgh
re of Ngta?y Public -State of Florida )
V
Personally Known �� OR Produced Identification
Type of Identification Produced
PUBLIC
No. C;',6� I U K3y Z (Seal)
,n1PBLAo_ Haleigh Short
Co mmg GG148342 ESTATE OF FLORIDA
Revised07/15/2014 riNE19'I0 Expires5/2512021 aCommGG1a88a2
•I,4' GrOc,nnn. 11
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